Umbilical Vein Calcification Associated with Double-Lumen Catheter Malpositioning in an Extremely Low-Birth-Weight Infant
Umbilical venous (UV) catheters (UVCs) are commonly used in severely ill neonates. Complications associated with UVC often result from an inappropriate UVC position. Calcification of the UV, a rare complication, was observed in an extremely low-birth-weight infant born at 23 weeks of gestation. Afte...
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MDPI AG
2024-01-01
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| Series: | Pediatric Reports |
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| Online Access: | https://www.mdpi.com/2036-7503/16/1/7 |
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| author | Takuya Yamamoto Shigeo Iijima |
| author_facet | Takuya Yamamoto Shigeo Iijima |
| author_sort | Takuya Yamamoto |
| collection | DOAJ |
| description | Umbilical venous (UV) catheters (UVCs) are commonly used in severely ill neonates. Complications associated with UVC often result from an inappropriate UVC position. Calcification of the UV, a rare complication, was observed in an extremely low-birth-weight infant born at 23 weeks of gestation. After birth, the infant experienced respiratory and circulatory dysfunction, followed by disseminated intravascular coagulation (DIC). A UVC was inserted, and circulatory agonists and blood transfusions were administered, as well as a calcium gluconate infusion for hypocalcemia and hyperkalemia. Ten days after birth, calcification was detected in the UV, likely due to a tunica intima injury caused by UVC, a hypercoagulable state due to DIC, and a high-dose calcium gluconate infusion. Additionally, proximal port malpositioning of the double-lumen catheter might have contributed to calcification within the UV. To prevent such complications, real-time ultrasound confirmation with agitated saline contrast during UVC placement is recommended; in the absence of the facility or skills for ultrasonography, X-rays should be performed in the lateral and anteroposterior views. Furthermore, when using multi-lumen catheters, physicians should not only verify the tip position but also ensure proper placement of proximal ports and carefully select medications administered through the ports. |
| first_indexed | 2024-04-24T17:56:21Z |
| format | Article |
| id | doaj.art-ada66a6f0ab34f35aef96fc35fdedc83 |
| institution | Directory Open Access Journal |
| issn | 2036-7503 |
| language | English |
| last_indexed | 2024-04-24T17:56:21Z |
| publishDate | 2024-01-01 |
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| record_format | Article |
| series | Pediatric Reports |
| spelling | doaj.art-ada66a6f0ab34f35aef96fc35fdedc832024-03-27T13:59:05ZengMDPI AGPediatric Reports2036-75032024-01-01161697610.3390/pediatric16010007Umbilical Vein Calcification Associated with Double-Lumen Catheter Malpositioning in an Extremely Low-Birth-Weight InfantTakuya Yamamoto0Shigeo Iijima1Department of Pediatrics, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, JapanDepartment of Regional Neonatal-Perinatal Medicine, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, JapanUmbilical venous (UV) catheters (UVCs) are commonly used in severely ill neonates. Complications associated with UVC often result from an inappropriate UVC position. Calcification of the UV, a rare complication, was observed in an extremely low-birth-weight infant born at 23 weeks of gestation. After birth, the infant experienced respiratory and circulatory dysfunction, followed by disseminated intravascular coagulation (DIC). A UVC was inserted, and circulatory agonists and blood transfusions were administered, as well as a calcium gluconate infusion for hypocalcemia and hyperkalemia. Ten days after birth, calcification was detected in the UV, likely due to a tunica intima injury caused by UVC, a hypercoagulable state due to DIC, and a high-dose calcium gluconate infusion. Additionally, proximal port malpositioning of the double-lumen catheter might have contributed to calcification within the UV. To prevent such complications, real-time ultrasound confirmation with agitated saline contrast during UVC placement is recommended; in the absence of the facility or skills for ultrasonography, X-rays should be performed in the lateral and anteroposterior views. Furthermore, when using multi-lumen catheters, physicians should not only verify the tip position but also ensure proper placement of proximal ports and carefully select medications administered through the ports.https://www.mdpi.com/2036-7503/16/1/7umbilical venous cathetermulti-lumen cathetervascular calcificationumbilical veinductus venosusextremely low-birth-weight infant |
| spellingShingle | Takuya Yamamoto Shigeo Iijima Umbilical Vein Calcification Associated with Double-Lumen Catheter Malpositioning in an Extremely Low-Birth-Weight Infant Pediatric Reports umbilical venous catheter multi-lumen catheter vascular calcification umbilical vein ductus venosus extremely low-birth-weight infant |
| title | Umbilical Vein Calcification Associated with Double-Lumen Catheter Malpositioning in an Extremely Low-Birth-Weight Infant |
| title_full | Umbilical Vein Calcification Associated with Double-Lumen Catheter Malpositioning in an Extremely Low-Birth-Weight Infant |
| title_fullStr | Umbilical Vein Calcification Associated with Double-Lumen Catheter Malpositioning in an Extremely Low-Birth-Weight Infant |
| title_full_unstemmed | Umbilical Vein Calcification Associated with Double-Lumen Catheter Malpositioning in an Extremely Low-Birth-Weight Infant |
| title_short | Umbilical Vein Calcification Associated with Double-Lumen Catheter Malpositioning in an Extremely Low-Birth-Weight Infant |
| title_sort | umbilical vein calcification associated with double lumen catheter malpositioning in an extremely low birth weight infant |
| topic | umbilical venous catheter multi-lumen catheter vascular calcification umbilical vein ductus venosus extremely low-birth-weight infant |
| url | https://www.mdpi.com/2036-7503/16/1/7 |
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